A recent study presented at the American Heart Association Scientific Sessions 2025 shows that adults with insomnia who use melatonin supplements for over a year face a significantly higher risk of developing heart failure.
Researchers analyzed health records of more than 130,000 adults with insomnia and no prior heart failure history. The study compared outcomes between those using melatonin for at least one year and those who never used it.
In the United States, melatonin is widely available over the counter, with nearly six million Americans using it to improve sleep. However, in the United Kingdom, melatonin is prescription-only.
Among UK patients who filled at least two melatonin prescriptions 90 days apart, the risk of developing heart failure rose by 82%.
"Adults with insomnia who took melatonin for at least a year had a much higher chance of developing heart failure." – Study presented at AHA Scientific Sessions 2025
While melatonin helps many fall asleep faster or sleep longer, this new evidence suggests caution around its long-term use, especially in adults with insomnia.
Long-term melatonin use in adults with insomnia is associated with nearly double the risk of heart failure and higher likelihood of hospitalization or death within five years, highlighting potential risks of prolonged use.
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